The Academic Affiliate Guide to Health Care Resources Contracting with the Department of Veteran’s Affairs 2014
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Credentialing and PrivilegingCredentialing and privileging will be done in accordance with the provisions of VHA Handbook 1100.19. This VHA Handbook provides updated VHA procedures regarding credentialing and privileging, to include incorporating: VHA policy concerning VetPro; the Expedited Medical Staff Appointment Process; credentialing during activation of the facility Disaster Plan; requirements for querying the FSMB; credentialing and privileging requirements for Telemedicine and remote health care; clarifications for the Summary Suspension of Privileges process in order to ensure both patient safety and practitioner rights; and the credentialing requirements for other required providers. All VHA health care professionals who are permitted by law and the facility to provide patient care services independently must be credentialed and privileged. The requirements of The Joint Commission (TJC) standards and VHA policies have been used to define the processes for credentialing, privileging, reappraisal, re-privileging, and actions against clinical privileges, including denial, failure to renew, reduction, and revocation. Handbook 1100.19 applies to all VHA LIPs permitted by law and facility to provide direct patient care, including telemedicine, and who are appointed or utilized on a full-time, part-time, intermittent, consultant, attending, without compensation (WOC), on-station fee basis, on-station contract, or on-station sharing agreement basis. The credentialing, but not privileging, requirements of Handbook 1100.19 apply to those Advanced Practice Registered Nurses (APRN), Physician Assistants (PA), and clinical pharmacy specialists who do not practice as licensed independent practitioners, as well as physicians, dentists, and other practitioners assigned to research or administrative positions not involved in patient care. VetPro is VHA’s electronic credentialing system and must be used for credentialing all practitioners who are granted clinical privileges or are credentialed for other reasons. One component of VHA’s Patient Safety Program is quality credentialing and the use of VetPro is necessary to reduce the potential for human error in the credentialing process. In addition, documentation other than in VetPro that is required by Handbook 1100.19 or local policy must be maintained in a paper or electronic medium. The requirements of this policy are the same whether carried out on paper or electronically. For example, if a signature is required and the mechanism in use is electronic, then that modality must provide for an electronic signature. Credentialing and privileging must be completed prior to the initial appointment or reappointment to the medical staff and before transfer of practitioner from another medical facility. If the primary source verification(s) of the practitioner’s credentials are on file (paper or electronic), those credentials that were verified at the time of initial appointment (and are not time-limited or specifically required by policy or TJC to be updated or re-verified) can be considered verified. Reference: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 Educational Cost ContractsVHA Handbook 1400.10 ”HEALTHCARE RESOURCES CONTRACTING: Educational Costs of Physician and Dentist Resident Training Pursuant To Title 38 United States Code 8153” sets forth the procedures and responsibilities for implementing and managing HCR contracts under VA's sharing Authority that pertain to the pro-rated payment of educational costs of Graduate Medical Education (GME) or Graduate Dental Education (GDE) to the sponsors of affiliated programs under which physician or dentist residents participate in providing health care services to VA beneficiaries. These commercial contracts pertain to certain educational costs only, and do not include the salary and benefits of physician or dentist residents. Any existing contracts and/or agreements must be reviewed to ensure compliance with policy as outlined in VHA Handbook 1400.10. Costs covered by these procurements may not be duplicate costs (same costs as covered by the Disbursement Agreement or any other agreement or contract between VAMC and Affiliate (such as a medical sharing clinical service contract)). The entity with which a local VA facility may enter into a GME or GDE educational cost contract must be the sponsoring institution. The sponsoring institution must be listed as such on the affiliation agreement. Program-by-program or clinical department-by-department contracts are not allowable under this policy. Only one contract covering VA’s pro-rata share of educational costs for all sponsored GME or GDE programs at an affiliate may be executed between a VA facility and each affiliate. The VA's share of pro-rated costs is determined by the number of filled VA resident positions divided by the total number of filled resident positions in a program or in the total of all affiliated programs. Affiliates must support costs with other than cost and pricing documentation of all proposed educational costs using the Educational Cost Worksheet provided by the Contracting Officer in the Solicitation attachments.
Directory: oaa -> docs docs -> Key Personnel Roles: va and Affiliate Note docs -> A. Request for Proposals oaa -> Ksa review Team November 17-19, 2010 oaa -> Typing Goodtyping Download 277.5 Kb. Share with your friends:
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